The impact and Marginal Effects of Community Satisfaction on Utilization of Primary Health Services among Older Adults

Corresponding author: He Hong, hehong@ruc.edu.cn

DOI: 10.12201/bmr.202409.00046

•  

  Abstract: Objective: To analyze the need for and utilization of primary health services among older adults in China, and to explore the impact and marginal effects of community satisfaction on the utilization of primary health services. Methods: Based on data from the 2018 China Longitudinal Aging Social Survey, 6889 older adults aged 60 years and above were included in this study. Logistic models and marginal effects were used to explore the impact of community satisfaction of older adults on their primary health service utilization. Results: Community satisfaction of the elderly was positively associated with the utilization of primary health services, with a average marginal effect of 4.6% and a marginal effect at the mean of 1.4%. The result remained robust after replacing the regression model. The marginal effect of community satisfaction on high-utilization of primary health services for high-need elderly was 11.0%, which was stronger for older adults in low-need (0.4%). And the marginal effect for older adults living in urban areas was 1.6%, stronger than that for older adults living in rural areas (1.1%). Conclusions: A high level of community satisfaction is one of the elements to promote the utilization of primary health services for the elderly, especially those with high-need. There is a urban-rural difference in the marginal effect of community satisfaction on the utilization of primary health services for older adults, which may be due to the imbalance of the allocation of community health resources between urban and rural areas. It is recommended that community social workers can improve community satisfaction among older adults through various ways to help the utilization of primary health services. At the same time, the government should promote a balanced allocation of primary health resources between urban and rural areas to avoid inequity in the use of primary health services between urban and rural areas.

  Key words: Elderly; Primary health services need; Primary health services utilization; Community satisfaction

  Submit time: 23 September 2024

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
• html

• 图表

• Yan Chenyu, Hehong. The Influence of Financial Planning for Elderly in Urban Areas on the Demand for and Utilization of Community-Based Care Services. 2022. doi: 10.12201/bmr.202211.00013

  HE HONG, YAN Chenyu, WANG Xin, DENG Che. A Study on the Effects of Social Participation on the Mental Health of Chinese Elderly——The Mediating Role of Social network, Social adaptation and Life satisfaction. 2023. doi: 10.12201/bmr.202303.00034

  yangchenxiao, qiaojiahui, lubei, liqiusha, zhaozixuan, yangchunxiao, chenzhongming, yinwenqiang. Research on the Impact of Working after Retirement on the Utilization of Medical Services for the Elderly——the Mediating Effect Based on Health. 2023. doi: 10.12201/bmr.202306.00017

  zhang hangkong, MA Qi-feng, li huihui. Medical Insurance for Urban and Rural Residents, Health and Utilization of Medical Services for the Elderly:An Evidence from Five Waves of CLHLS Data. 2023. doi: 10.12201/bmr.202310.00005

  Lei Meng, Luo Yinbo, Wang Zan, Guo Qianqian, Liu Junan. The association between sense of acquisition and turnover intention of rural primary medical staff: based on mediating effect of job satisfaction. 2021. doi: 10.12201/bmr.202010.00843

  houyanjie, wangyu, yanshiyuan, zhangwenjing, zhanglin, yaojun. Effects of Long-term Care Insurance on Medical Service Utilization, Medical Burden and Health of Middle-aged and Elderly People：An empirical research based on DID. 2021. doi: 10.12201/bmr.202107.00029

  Zhang Rui, SHAO Yang, FAN Meiqi, CAI Bin, ZHOU Luojing. Research on Countermeasures for the Development of Internet Medical Services from the Perspective of Patient Satisfaction. 2022. doi: 10.12201/bmr.202211.00009

  SU Bin-bin, LIU Shang-jun, LU Yan-jun, YAO Fang-hong, ZHAO Yi-hao, ZHENG Xiao-ying. Evaluation of Human Resource Allocation of Primary Health Care in ChinaBased on Agglomeration Degree. 2021. doi: 10.12201/bmr.202102.00008

  xuyihan, FAN Chun. Design and Research of Intelligent Community Active Health Services. 2020. doi: 10.12201/bmr.202008.00007

  Yu Ya-hang, Yuan Bei-bei. The chain mediation of job motivation on job satisfaction and job performance. 2021. doi: 10.12201/bmr.202105.00015

• ID	Submit time	Number	Download
  1	2024-06-26	bmr.202409.00046V1	Download

• Public  Anonymous  To author only Submit Comments